Active NPI
Jorge Moran, DPT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1558074369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4080 N Cedar Ave
Fresno, CA 93726-5267 - Phone
- (559) 222-7497
- NPI assigned
- Dec 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4080 N Cedar Ave
Fresno, CA 93726-5267
Mailing address
2203 E Yeargin Dr
Fresno, CA 93720-4143
Phone (559) 285-6081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4080 N Cedar Ave
Fresno, CA 93726-5267
Phone (559) 222-7497
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiomotion Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapist
- Fresno, CA
- NPI 1346301751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1558074369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 E YEARGIN DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937204143",
"telephone_number": "559-285-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 N CEDAR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937265267",
"telephone_number": "559-222-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JORGE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-27",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.